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Individual

MATTHEW MOELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
243 MAIN ST STE 1, BUZZARDS BAY, MA 02532-3285
(508) 743-5542
Mailing address
243 MAIN ST STE 1, BUZZARDS BAY, MA 02532-3285
(508) 743-5542

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
176152
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025038678
MA

Other

Enumeration date
07/27/2022
Last updated
02/26/2026
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